Individual provider Active NPI

Robert Allan Frie, O.D.

  • Optometrist
  • Eau Claire, WI
National Provider Identifier
1619908290
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2944 Issued in WI
Practice address
1507 Drummond St
Eau Claire, WI 54701-4050
Phone
(715) 835-5862
NPI assigned
Jul 5, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2944 WI Primary

Addresses

Primary practice location

1507 Drummond St
Eau Claire, WI 54701-4050

Mailing address

1507 Drummond St
Eau Claire, WI 54701-4050
Phone (715) 835-5862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1619908290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 DRUMMOND ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014050",
            "telephone_number": "715-835-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 DRUMMOND ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014050",
            "telephone_number": "715-835-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIE",
        "first_name": "ROBERT",
        "middle_name": "ALLAN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.